Centre for Biodynamic Psychotherapy Highgate Newtown Community Centre, 25 Bertram Street, London N19 5DQ Tel: 0207 263 4290 admin@lsbp.org.uk www.biodynamic-bodypsychotherapy.co.uk Application for Foundation Year Diploma Training in Biodynamic Body-Psychotherapy: Second module: Advance Course in Biodynamic Massage & Basic Skills in Biodynamic Psychotherapy London School of Biodynamic Psychotherapy is a member of UK Council for Psychotherapy. The Psychotherapy Diploma Training can lead to UKCP registration Please type your replies, use additional sheets if necessary Please attach a recent passport photograph Photograph Name: Address: Telephone: Mobile: Email: Date: If you have any special requirements that arise as a result of a disability, medical condition or specific learning difficulty, we would encourage you to contact us so that appropriate arrangements can be made prior to your visit. London School of Biodynamic Psychotherapy (Gerda Boyesen Method) Ltd t/a Centre for Biodynamic Psychotherapy Non-profit company limited by guarantee registered in England no. 4104224 Directors: Dr. Elya Steinberg, Lynne Allen Centre for Biodynamic Psychotherapy Highgate Newtown Community Centre, 25 Bertram Street, London N19 5DQ Tel: 0207 263 4290 admin@lsbp.org.uk www.biodynamic-bodypsychotherapy.co.uk Please give the following Information: This course is only available to those who have completed the Basic Certificate course in Biodynamic Massage. 1. When did you complete the Basic Certificate course in Biodynamic Massage? 2. Where did you train? (Please supply copies of certificates and qualifications) 3. Have you completed your 6 sessions Biodynamic Massage case study? (practical and written assignment). If not, when will you be completing this? For students who have done their basic Biodynamic Massage training at other schools. What equivalent to a Biodynamic Massage case study have you done? (both practical and as written assignment) 4. Have you fulfilled all the other course requirements? If not, which Teaching session have you missed? (please give dates and subject) Which A&P lectures have you missed? (give dates and subject) Have you had 20 Biodynamic Massages from a qualified and approved Biodynamic Massage/psychotherapist? If not, what was the reason? In order to get assessed for your Basic Certificate in Biodynamic Massage or to be accepted onto the Advanced Biodynamic Massage course you will have to make up the missed teaching sessions and/or massage treatments? (A&P can be made up next year) Do you agree to that? 5. Have you paid all your due fees? London School of Biodynamic Psychotherapy (Gerda Boyesen Method) Ltd t/a Centre for Biodynamic Psychotherapy Non-profit company limited by guarantee registered in England no. 4104224 Directors: Dr. Elya Steinberg, Lynne Allen Centre for Biodynamic Psychotherapy Highgate Newtown Community Centre, 25 Bertram Street, London N19 5DQ Tel: 0207 263 4290 admin@lsbp.org.uk www.biodynamic-bodypsychotherapy.co.uk About yourself: 6. Your employment and life experience past and present, paid and voluntary. Please outline details of past experience in the helping profession. 7. Your education and vocational qualifications. (Please supply copies of certificates and qualifications) 8. Your experience of adult learning situations 9. List any past or present physical or emotional conditions requiring medication and/ or hospitalisation. 10. Are there any other factors which could limit your capacity to engage fully with the training? 11. Criminal Conviction: Please give details of any criminal convictions you have 12. Sex Offenders Register: Are you on any List or Register of Sex Offenders? If so please give details 13. Your past and present experience of group therapy or personal development workshops (length, frequency and duration) experience 14. Past and present experience of individual therapy (length, frequency and duration) London School of Biodynamic Psychotherapy (Gerda Boyesen Method) Ltd t/a Centre for Biodynamic Psychotherapy Non-profit company limited by guarantee registered in England no. 4104224 Directors: Dr. Elya Steinberg, Lynne Allen Centre for Biodynamic Psychotherapy Highgate Newtown Community Centre, 25 Bertram Street, London N19 5DQ Tel: 0207 263 4290 admin@lsbp.org.uk www.biodynamic-bodypsychotherapy.co.uk About your application: 15. Having completed the Basic Certificate course in Biodynamic Massage, which aspects of the training did you enjoy most and why? (Theory teaching, practice sessions during the workshop, group and individual sharing, supervision, A&P lectures, Case study massages, exchanges outside of the workshop programme) 16. Which aspects of the training did you find difficult and why? 17. Why are you applying for the second module in Biodynamic Psychotherapy: Advanced Massage Certificate and Basic skills in Biodynamic Psychotherapy training at this point in your life? 18. In terms of your personal growth, what do you hope to gain from this course? 19. In terms of your professional development, what do you hope to gain from the course? 20. Apart from the practical and experiential elements of the course, theoretical study and essay/ case study writing will be also be a component. How do you assess your competence in this area? 21. Which of your personal strengths and attributes do you think will assist you as a Biodynamic Massage practitioner? 22. What personal difficulties or characteristics do you think may impede you as a practitioner London School of Biodynamic Psychotherapy (Gerda Boyesen Method) Ltd t/a Centre for Biodynamic Psychotherapy Non-profit company limited by guarantee registered in England no. 4104224 Directors: Dr. Elya Steinberg, Lynne Allen Centre for Biodynamic Psychotherapy Highgate Newtown Community Centre, 25 Bertram Street, London N19 5DQ Tel: 0207 263 4290 admin@lsbp.org.uk www.biodynamic-bodypsychotherapy.co.uk 23. You will be required to undertake 15 Biodynamic psychotherapy sessions with an LSBP approved Biodynamic psychotherapist for the duration of your training, which you have to pay for separately. Are you willing to make this commitment? 24. Are you currently seeing a Biodynamic psychotherapist? If yes, please give name. 25. You should also practise the Biodynamic Massages that you’ve learned with your colleagues, between the teaching weekends. Are you willing to make this commitment? 26. You will be expected to take part in the student clinic during your training in Biodynamic Psychotherapy for 2-3 terms. Are you willing to make this commitment? 27. How will you finance this training? 28. After your interview we will contact two people who have known you well, preferably in the last five years. Please give their names, contact details and how they know you. You can e-mail your application form to training@lsbp.org.uk And make an online payment of £50 for the interview fee or £30 for LSBP Students to: Sort code: 20-11-74 Account No: 60485160 Ref: FM1 or post three copies of the completed form and a cheque for £50 for the interview fee or £30 for LSBP Students to: Centre for Biodynamic Psychotherapy Training HNCC 25 Bertram Street London N19 5DQ If you have any queries please phone: 0207 263 4290 London School of Biodynamic Psychotherapy (Gerda Boyesen Method) Ltd t/a Centre for Biodynamic Psychotherapy Non-profit company limited by guarantee registered in England no. 4104224 Directors: Dr. Elya Steinberg, Lynne Allen